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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNA LEE DUBRUIEL, PA

Active

JENNA LEE DUBRUIEL, PA is a Physician Assistant healthcare provider located in DYER, Tennessee. NPI 1114281748 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DYER, TN

Registration Details

NPI Number
1114281748
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2012 (14.120400685207 yrs)
Last Updated
Dec 11, 2023
License
2166 (TN)

Practice Information

Address
1123 N MAIN ST
DYER, TN, 383301019
Browse TN providers · Browse ZIP 38330
Phone
7316922853
Fax
7316922367
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DYER, TN

Name Credential NPI
KATIE E VANCE PA 1861831869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.